Doctor Name: | CHRISTINE FIORENTINO |
NPI Number: | 1033531892 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F306551-1 |
Business Practice Address: | 100 Port Washington Blvd Roslyn, NY - 11576 |
Business Phone Number: | 5165626000 |
Business Fax Number: | |
Mailing Address: | 24 Dolphin Green # 2c, PORT WASHINGTON |
State: | NY |
Postal Code: | 11050 |
Phone Number: | 5166414060 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2014 |
NPI Last Update Date: | 01/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F306551-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |